| Lk & D Enterprises Llc | |
|
1125 Cypress Station Dr Bldg B #1 & #2 Houston TX 77090-1602 | |
| (281) 586-9971 | |
| (281) 580-5061 |
| Full Name | Lk & D Enterprises Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1125 Cypress Station Dr, Houston, Texas |
| Authorized Official Name and Position | Larry Flowers (OWNER) |
| Authorized Official Contact | 2815869971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lk & D Enterprises Llc 1125 Cypress Station Dr Bldg B #1 & #2 Houston TX 77090-1602 Ph: (281) 586-9971 | Lk & D Enterprises Llc 1125 Cypress Station Dr Bldg B #1 & #2 Houston TX 77090-1602 Ph: (281) 586-9971 |
| NPI Number | 1699923466 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Medicare PECOS PAC ID | 4789734013 |
|---|---|
| Medicare Enrollment ID | O20090609000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699923466 | NPI | - | NPPES |
| 098234001 | Medicaid | TX | |
| H1080 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H1080 (Texas) | Primary |
| Provider Name | Eli T Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053342634 PECOS PAC ID: 4082603238 Enrollment ID: I20040511001520 |
| Provider Name | Gwendolyn Rana Dejean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578546487 PECOS PAC ID: 6608851845 Enrollment ID: I20040708000238 |
| Provider Name | Larry Flowers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750336707 PECOS PAC ID: 9638163991 Enrollment ID: I20050202000147 |
| Provider Name | Glenda A Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598774093 PECOS PAC ID: 5193816072 Enrollment ID: I20070807000306 |
| Provider Name | Jamila Wheeler-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730645169 PECOS PAC ID: 6204162266 Enrollment ID: I20190729002549 |
| Provider Name | Joy Ngozi Ede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194357988 PECOS PAC ID: 2961436258 Enrollment ID: I20201006000629 |
| Provider Name | Jeanette Michelle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316544810 PECOS PAC ID: 2264852516 Enrollment ID: I20201026002742 |
| Provider Name | Uloma Nwaku Ugbaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154965101 PECOS PAC ID: 5991115834 Enrollment ID: I20201105000543 |
| Provider Name | Helena D Mendin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043793847 PECOS PAC ID: 9638548332 Enrollment ID: I20221219001830 |
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